Deficiency Records for Terraces at The Clare
Updated as of May 01, 2019
This is not the most recent data for Terraces at The Clare. For the most recent information, click here.
A list of the most recent deficiencies for Terraces at The Clare. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-15 | 2018-06-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-15 | 2018-06-29 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-06-15 | 2018-06-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-06-15 | 2018-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-06-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-06-14 | 2018-06-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-14 | 2018-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-14 | 2018-06-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-05 | 2017-05-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-05 | 2017-05-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-05 | 2017-05-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-05 | 2017-05-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-04 | 2017-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-04 | 2017-05-30 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-05-04 | 2017-05-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-05-04 | 2017-05-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-04 | 2017-05-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-04 | 2017-05-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-05-04 | 2017-05-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-04 | 2017-05-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-11-23 | 2016-12-08 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-31 | 2016-09-30 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| The appropriate emergency electrical system. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-19 | 2016-05-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-04-14 | 2016-05-29 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-04-14 | 2016-05-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-14 | 2016-05-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-14 | 2016-05-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-04-14 | 2016-05-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-04-14 | 2016-05-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-14 | 2016-05-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-14 | 2016-05-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-14 | 2016-05-29 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-04-14 | 2016-05-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-14 | 2016-05-29 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-04-14 | 2016-05-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-14 | 2016-05-29 | N |
| Dispose of garbage and refuse properly. | Health | 2016-04-14 | 2016-05-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-14 | 2016-05-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-14 | 2016-05-29 | N |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2016-04-14 | 2016-05-29 | N |
